Individual
CHRYSTAL MARIE PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 BRIGHT CHASE, SAN ANTONIO, TX 78253-5196
(214) 405-5694
Mailing address
426 BRIGHT CHASE, SAN ANTONIO, TX 78253-5196
(214) 405-5694
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
117180
TX
Other
Enumeration date
01/29/2019
Last updated
09/05/2024
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